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� _J . _ <br /> _ - � --� <br /> Prrm�t �io. / `�.�-- <br /> everett <br /> APPLILATIOi�I F�R DRIVEVVAY PERM�IT <br /> CITY ENGINEEkS �� ���� �i�� /� <br /> -ri-�i" � ./-. �'=c.J��.c-.. <br /> EVERETT, WASi-1. '" Appro�ed By r <br /> I /� �� , I , 4,_ ;- �— /8— 7'�f <br /> The Undersigned�_'�J_-:� i;_ ;'��_i � `�� I--` �� �\/� ` � -- Dare Approved <br /> i <br /> CoI� �,T �. � �1 � ', ::� ;t� � r_ -_� � _ ; r � " <br /> Hereby applies for permission io � _ _ �� � ! <br /> l i ;.. � —'� .i_. r, •,r y r -., <br /> At the fellowiny Iocafion�5�_���''�-- �i`: '_ .l '_ r' �_:r � � L (�� �l. � 1 " [-- I'•�. ,. 1 'r,l <br /> _ L t 1.. 6� i,f � ; <br /> SKETCH <br /> IWork to be donel L.O'T / <br /> /O� --_.�._ <br /> I C>5 <br /> RELOc /�TC u_� r;TEt: <br /> Se �u,c� 3c•,x IF <br /> Irl_ p_�W , <br /> _ �4P_F�o�'�B_ <br /> _ � -0 <br /> --- — — — — — � A ---- -- --- -- -- <br /> F'-'c� oF f�vv'T� ] �� � �p, <br /> — — — — — — � — — —I — +— — — _ _ _— - - <br /> i NT��c�-n� ,Av �= - <br /> The unoersigned owner hereby ogrees to hold ond save hormless the City of Voriance Required <br /> Everett irom any ond all cloims for damages Ihot may orise because of the Yes. _. ....... .... <br /> installalion and mainLeancc of the improvement herclo applicd for ond No ... _._._.. <br /> (urlhcr ogrces to remove same upon noticc from Ihc City ond lo replacc all �� -���-'�" <br /> public properly domaged Ihcreby. <br /> /? <br /> �RIVEWAY SECTION ��� C�� �'�f ��'��- � <br /> NO Sr,ALE � ��- ' �/- _ �� � � �-.._� <br /> � — ', ' � ---� � ,�_ "C.- ' Signafure ol'Applicn �`�-, . <br /> f. � <br /> f �ii LIP �i1�=f � o�,> � � -� �� <br /> ,� -r)`..i. � l Y _I <br /> ada��ss <br /> � �3—'��_ 3� -�n- <br /> � � (;/ r' <br /> � Telepfione Number <br /> / " , / . <br /> � <br /> :�. — ..% i�'� .� <br /> Cr>»,, �llfr 5-7 rY-7'y .f.-s,�. Z�. � � Dare " ,y . <br /> Insoector's Signafure $ �� 5=' ..�_ ,�' � � . � <br /> : .� . .. i/.' ;/'�j . <br /> Cf F�.L,� 3�J�79 �C.Y Fce <br /> Dale <br /> , ' � ' � � DEPT. APPROVALS <br /> . . . - -__----- . .� - _ � ..,��.�a.�..,..._ —� � <br />